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Genesis Vasconez
Psychiatric/Mental Health Nurse Practitioner in San Francisco, California
NPI 1306407473

Genesis Vasconez is a Psychiatric/Mental Health Nurse Practitioner based in San Francisco, CA and is specialized in Psychiatric/Mental Health. Genesis Vasconez practices in San Francisco, CA. The NPI Number for Genesis Vasconez is 1306407473 and holds a License No. 95185269 (California).

The current practice location address for Genesis Vasconez is 2712 Mission St, San Francisco, CA and can be reached out via phone at 415-401-2700.

Location: 2712 Mission St, San Francisco, CA, 94131-3321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306407473
Provider Name
Genesis Vasconez
Credential
Provider Entity Type
Individual
Gender
Female
Address
2712 Mission St, San Francisco, CA, 94131-3321
Phone Number
415-401-2700
Fax Number
Provider Enumeration Date
06/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2712 Mission St
City
San Francisco
State
California
Zip
94110-3104
Phone Number
415-401-2700
Fax Number
person
Provider Business Mailing Address Details
Address
2712 Mission St
City
San Francisco
State
California
Zip
94110-3104
Phone Number
415-401-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95015640 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
95185269 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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